Marys Home Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MARYS HOME CARE LLC

Practice address

1203 Steger Rd NW
Alexandria, MN 56308-5307

Phone

(320) 763-9776

NPI assigned

May 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Kay OlerudNPI 1093921637

Title

Owner

Phone

(320) 763-9776

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kay Olerud

  • Attendant Care Provider
  • Alexandria, MN
  • NPI 1093921637
  NPD (past) Authorized official
• Rebecca Sprenger

  • Attendant Care Provider
  • Alexandria, MN
  • NPI 1518110295
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891901476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 STEGER RD NW",
            "address_2": "PO BOX 832",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 STEGER RD NW",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085307",
            "telephone_number": "320-763-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLERUD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-763-9776"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret R Martin, BS, COTA/L
• April Dawn Martinez
• Rylee Lauren Martinez
• Marvelles Apparel Inc
• Joseph Marvin, M.D.
• Lesha Massmann
• Cristina Mae Masten
• Jenna Marie Mattocks, PNP
• Megan McCormick, PT, DPT
• Erin M McCoy, P.T.

• Adult Care Home Facility in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.